Hostname: page-component-586b7cd67f-g8jcs Total loading time: 0 Render date: 2024-11-30T16:16:53.169Z Has data issue: false hasContentIssue false
  • English
  • Français

Trends in ECT (Electroconvulsive Therapy) Utilization During Pregnancy and Post-Partum Period: National Inpatient Sample 2002-2015

Published online by Cambridge University Press:  01 September 2022

S. Jaiswal ,
C. Trivedi ,
K. Shah ,
A. Bishay Elshokiry ,
M. Adnan ,
F. Tazin  and
Z. Mansuri
S. Jaiswal
Affiliation:
University of Texas Southwestern Medical Center Dallas, Psychiatry, Dallas, United States of America
C. Trivedi
Affiliation:
Texas Tech University Health Science Center, Psychiatry, Midland, United States of America
K. Shah*
Affiliation:
Griffin Memorial Hospital, Psychiatry, Norman, United States of America
A. Bishay Elshokiry
Affiliation:
North Park University, Research, Chicago, United States of America
M. Adnan
Affiliation:
University of Toranto, Psychiatry, Toranto, Canada
F. Tazin
Affiliation:
East Liverpool Hospital, Psychiatry, East Liverpool, United States of America
Z. Mansuri
Affiliation:
Boston Childrens Hospital/Harvard Medical School, Child And Adolescent Psychiatry, Brighton, United States of America
*
*Corresponding author.

Abstract

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.
Introduction

The use of Electroconvulsive therapy (ECT) during pregnancy and in the post-partum period is a critical decision for both providers and their patients. ECT utilization during this critical period needs to be better understood to assess the need and allocate resources for this valuable treatment option.

Objectives

1) To evaluates baseline characteristics and analyze ECT utilization trends for pregnant and post-partum patients hospitalized in the US. 2) To provide insight into ECT use among inpatient pregnant women with different age groups with various comorbid psychiatric disorders.

Methods

The study used the 2002-2015 National (Nationwide) Inpatient Sample (NIS) data. Descriptive statistical and trend analyses were conducted to evaluate data.

Results

A study found that a total of 924 pregnancy-related hospitalizations required ECT treatment; 92.2% of these ECTs were conducted in urban hospitals. The mean age of women was 30.3 years, and the majority (71%) were of the White race. Mood disorders (major depressive disorder- 51.9% and bipolar disorder- 37.9%) accounted for the most common comorbid psychiatric illnesses. The payer source (Medicare/Medicaid vs. Private Insurance) was almost equal (47.9 vs. 46.8). Though not statistically significant, the trend analysis showed that the proportion of ECTs during pregnancy out of the total ECT performed for the year almost doubled (0.24% to 0.47%) from 2008 to 2015.

Conclusions

Though not statistically significant, the use of ECT in pregnant women has increased in 2015 compared to 2002. Results will help clinicians, policymakers, and various stakeholders to optimize ECT utilization, reimbursement and ultimately improve clinical outcomes.

Disclosure

No significant relationships.

Keywords

ECTPsychiatric comorbiditiespregnantPost-Partum Period
Type
Abstract
Information
European Psychiatry , Volume 65 , Special Issue S1: Abstracts of the 30th European Congress of Psychiatry , June 2022 , pp. S737
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2022. Published by Cambridge University Press on behalf of the European Psychiatric Association
Submit a response

Comments

No Comments have been published for this article.